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That's a good point but the Gates Foundation isn't alone; there are a fair number of other foundations in the $10-100 billion range.

None that operate at the scale of deployment that BMGF operates in.

Since the BMGF is only the fifth largest, how do you justify that statement?

Scale of deployment vs scale of funding.

Do you have a source? Because it seems unlikely to me that charitable foundations with even more capital are not deploying it at similar scale.